Yamada Kumiko, Shimazaki Keiichi, Inomata Shinichi, Owada Yohei
Department of Anesthesiology, University of Tsukuba Hospital, Tsukuba, JPN.
Division of Clinical Medicine, Department of Anesthesiology, Faculty of Medicine, University of Tsukuba, Tsukuba, JPN.
Cureus. 2023 Mar 14;15(3):e36151. doi: 10.7759/cureus.36151. eCollection 2023 Mar.
This report presents a case of a 59-year-old man who experienced pain in the left abdomen during abdominal exercises, which gradually improved. Pain recurred in the same area one year later and gradually worsened, rendering him unable to work. The strongest tender point, with a positive Carnett's sign, was noted on the flank. Ultrasonography revealed a 5 × 10 mm mass shadow in the internal oblique muscle. Trigger point injection at the same site was remarkably effective. Lateral cutaneous nerve entrapment syndrome caused by a crush injury due to abdominal exercises was diagnosed. Nerve block therapy provided effective pain relief.
本报告介绍了一例59岁男性病例，该患者在腹部锻炼时左侧腹部出现疼痛，疼痛逐渐缓解。一年后，同一部位再次出现疼痛且逐渐加重，导致他无法工作。在侧腹发现最强压痛点，卡内特征阳性。超声检查显示腹内斜肌有一个5×10毫米的肿块阴影。在同一部位进行触发点注射效果显著。诊断为腹部锻炼挤压伤导致的外侧皮神经卡压综合征。神经阻滞疗法有效缓解了疼痛。
